Organization Active NPI

Gero-Psychiatric Behavioral & Mental Health Consultants

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1356657464
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GERO-PSYCHIATRIC BEHAVIORAL & MENTAL HEALTH CONSULTANTS
Practice address
855 Rockmead Dr Ste 604
Kingwood, TX 77339-2289
Phone
(832) 879-2107
Fax
(877) 495-4112
NPI assigned
Aug 26, 2010
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Henrietta Valair Evans, DNP PMHNP-BC, GNP-BCNPI 1366768277
Title
Sole Owner/Operator
Phone
(832) 879-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Wound Care Registered Nurse 163WW0000X NU

Addresses

Primary practice location

855 Rockmead Dr Ste 604
Kingwood, TX 77339-2289

Mailing address

855 Rockmead Dr Ste 604
Kingwood, TX 77339-2289
Phone (832) 879-2107

Other practice location 1

855 Rockmead Dr Ste 603
Kingwood, TX 77339-2289
Phone (832) 879-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915001225 TX Part B Supplier - Clinic/Group Practice 3476678384 Receives reassigned benefits from 1 practitioner
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

13155 Westheimer Rd
Ste 110
Houston, TX 77077
Phone (281) 752-7779

20550 Townsen Blvd
Bldg 1
Humble, TX 77338
Phone (328) 792-1078

201 Kingwood Medical Dr
Ste A500
Kingwood, TX 77339
Phone (281) 359-2080

855 Rockmead Dr
Ste 603
Kingwood, TX 77339
Phone (832) 879-2107

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1356657464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROCKMEAD DR STE 604",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392289",
            "telephone_number": "832-879-2107",
            "fax_number": "877-495-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROCKMEAD DR STE 604",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392289",
            "telephone_number": "832-879-2107",
            "fax_number": "877-495-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Rockmead Dr Ste 603",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392289",
            "country_code": "US",
            "telephone_number": "832-879-2107",
            "fax_number": "877-495-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERO-PSYCHIATRIC BEHAVIORAL & MENTAL HEALTH CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "VALAIR",
        "authorized_official_title_or_position": "SOLE OWNER/OPERATOR",
        "authorized_official_telephone_number": "832-879-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP PMHNP-BC, GNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.